Content of Provider and Pharmacy Directory. The Provider and Pharmacy Directory must include, at a minimum, the following information for all providers in the ICO’s Provider Network: The names, addresses, and telephone numbers of all current network providers, and the total number of each type of provider, consistent with 42 C.F.R. § 422.111(h). As applicable, network providers with training in and experience treating Persons with physical disabilities, chronic illness, HIV/AIDS, and/or persons with serious mental illness; Individuals who are homeless; Individuals who are Xxxx, hard-of-hearing, blind and/or visually impaired; Persons with co-occurring disorders; and Other specialties. For behavioral health providers, training in and experience treating trauma, child welfare, and substance use; For network providers that are health care professionals or non-facility based and, as applicable, for facilities and facility-based network providers, office hours; As applicable, whether the health care professional or non-facility based network provider has completed cultural competence training; Whether the network provider has specific accommodations for people with physical disabilities, such as wide entry, wheelchair access, accessible exam rooms and tables, lifts, scales, bathrooms and stalls, grab bars, or other accessible equipment; Whether the provider is accepting new patients as of the date of publication of the directory; Whether the network provider is on a public transportation route; Any languages other than English, including ASL, spoken by network providers or offered by skilled medical interpreters at the provider’s site, and, as applicable, whether the provider has access to language line interpreters; A description of the roles of the ICT and the process by which Enrollees select and change PCPs. The directory must include, at a minimum, the following information for all pharmacies in the ICO’s pharmacy network: The names, addresses, and telephone numbers of all current network providers and pharmacies; Whether the pharmacy provides an extended day supply of medications; and Instructions for the Enrollee to the contact the ICO’s toll free Enrollee Services telephone line (as described in Section 2.9) for assistance in finding a convenient pharmacy. Financial Requirements Financial Viability Consistent with Section 1903 (m) of the Social Security Act, and regulations found at 42 C.F.R. § 422.402, and 42 C.F.R. § 438.116, the ICO shall meet all State and federal financial soundness...
Content of Provider and Pharmacy Directory. The Provider and Pharmacy Directory must include, at a minimum, the following information for all Providers/pharmacies in the Contractor’s Provider and Pharmacy Network:
Content of Provider and Pharmacy Directory. The Provider and Pharmacy Directory must include, at a minimum, the following information for all Providers in the STAR+PLUS MMP’s Provider Network:
Content of Provider and Pharmacy Directory. The Provider and Pharmacy Directory must include, at a minimum, the following information for all Providers in the FIDA Plan’s Provider Network:
